Provider Demographics
NPI:1710505920
Name:MOVEWELL REHAB SERVICES
Entity Type:Organization
Organization Name:MOVEWELL REHAB SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:FREITAG
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:609-678-5553
Mailing Address - Street 1:6 DEVONWOOD CT
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-3445
Mailing Address - Country:US
Mailing Address - Phone:609-678-5553
Mailing Address - Fax:609-975-0236
Practice Address - Street 1:6 DEVONWOOD CT
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-3445
Practice Address - Country:US
Practice Address - Phone:609-678-5553
Practice Address - Fax:609-975-0236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-14
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No251E00000XAgenciesHome Health